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Table 1 Characteristics of studies investigating the association between interpregnancy weight change and adverse perinatal outcomes

From: Effect of interpregnancy weight change on perinatal outcomes: systematic review and meta-analysis

Author & publication date

Included in meta-analysis?a

Country

Study cohort (if applicable)

Study period

Sample size

Inclusion criteria

Reported weight

Reference group

Diagnostic criteria

Confounders adjusted for

Bogaerts et al. 2013 [25]

Yes

Belgium

Study Centre for Perinatal Epidemiology database

2009–2011

7897

First two consecutive births

Self-reported weight and height

±1 BMI unit

GDM: not clarified

PIH: not clarified

Prepregnancy BMI at first pregnancy, interpregnancy interval, gestational age at first delivery, maternal age, gestational weight gain, complications at first pregnancy (GDM, PIH, induction of labour, CS, malformations and mortality)

Bender et al. 2018 [46]

No

USA

Hospital of Pennsylvania retrospective cohort

2005–2010

537

Singleton livebirth followed by consecutive pregnancy

Weight measured at first antenatal visit, self-reported height

Stable BMI category

GDM: Carpenter–Coustan criteria for the 3-h glucose tolerance test

PIH: Task Force on Hypertension in Pregnancy

PTB: < 37 weeks

Maternal age, GDM in prior pregnancy, prepregnancy BMI category

Benjamin et al. 2019 [39]

No

USA

Texas linked siblings pair

2005–2012

2481

Birth certificates linked with older live birth, singleton sibling

Self-reported weight and height

0 to < 1 BMI units weight gain

SGA: Not reported

LGA: Not reported

PTB: Not reported

Prepregnancy BMI at sibling pregnancy, ethnicity, smoking status, gestational weight gain, height, maternal age and education

Chen et al. 2009 [26]

No

USA

Collaborative Perinatal Project

1959–1966

1892

Singleton livebirth followed by consecutive singleton pregnancy

Self-reported weight and height

− 0.32 to 1.48 BMI units

PTB: < 37 weeks

Maternal age, research centre, race, smoking status, socio-economic index, marital status and interpregnancy interval

Cheng et al. 2003 [27]

No

USA

Missouri maternally linked cohort

1989–1997

14,114

Second-born SGA infants

Self-reported weight and height

No change in BMI

SGA: <10th percentile

Not reported

Crosby et al. 2017 [47]

No

Ireland

Follow up of ROLO study

2007–2015

280

Secundigravida who previously gave birth to macrosomic (> 4.0 kg) baby

Weight and height measured at first antenatal visit

No interpregnancy weight gain (not further specified)

GDM: Not specified

No adjusted model available

Ehrlich et al. 2011 [24]

Yes

USA

Kaiser Permanente Northern California

1996–2006

22,351

Women without recognised diabetes before pregnancy, first and second live born singletons

Measured by clinician at time of alpha fetoprotein test (mean GA 16.9 weeks)

± 1.0 BMI unit

GDM: According ADA criteria

Maternal age, race, ethnicity, place of birth, GDM status in first pregnancy, prepregnancy BMI in first pregnancy, gestational age, interpregnancy interval

Getahun et al. 2007 [28]

No

USA

Missouri vital record system

1989–1997

136,884

No history of pre-eclampsia in index pregnancy, delivering second baby.

Self-reported weight and height

Normal BMI (18.5–24.9 kg/m2) in both pregnancies

PE: hypertension and proteinuria beyond 20th week gestation in women normotensive before pregnancy

Maternal age, race, education, marital status, prenatal care, smoking status and interpregnancy interval

Getahun et al. 2007 [29]

No

USA

Missouri vital record system

1989–1997

146,227

First two consecutive singleton pregnancies

Self-reported weight and height

Normal BMI (18.5–24.9 kg/m2) in both pregnancies

LGA: ≥90th percentile

Maternal age, race, education, marital status, prenatal care, smoking status, alcohol during pregnancy, marital status and interpregnancy interval

Glazer et al. 2004 [36]

No

USA

Washington State Longitudinal Births Database

1992–1998

4102

Non-diabetic women with weight ≥ 200lbs. with ≥2 singleton births.

Pre-pregnancy weight from birth certificate, unspecified how measured

± 10 lb

GDM: not clarified

Maternal age, gestational weight gain in index pregnancy and gestational weight gain during subsequent pregnancy

Hoff et al. 2009 [30]

No

USA

Missouri birth certificates

1995–2004

1035

First two consecutive singleton pregnancies in overweight women

Pre-pregnancy weight from birth certificate, unspecified how measured

overweight BMI (25.0–29.9 kg/m2) in both pregnancies

PIH: not clarified

PTB: < 37 weeks

No adjusted model available

Jain et al. 2013 [31]

No

USA

Missouri vital record system

1998–2005

10,444

First two consecutive singleton pregnancies with a BMI ≥ 30 at index pregnancy.

Self-reported weight and height

± 2 BMI units

SGA: <10th percentile

LGA:< 90th percentile

Maternal ae, race, martial status, education, socioeconomic status, obesity status in first pregnancy, gestational weight gain, smoking, PE, prenatal care, previous SGA or LGA birth, DM, hypertension, renal or cardiac disease

Knight-Agarwal et al. 2016 [32]

Yes

Australia

Birthing Outcome System

2008–2013

14,875

Women of all parity with subsequent pregnancies.

Weight and height recorded at first antenatal visit (mean GA not reported)

± 1 BMI unit

GDM: not clarified

Maternal age, parity, country of birth, smoking status

Kruse et al. 2015 [33]

No

Denmark

–

2009–2013

72

Primiparas with a history of GDM

Unspecified how weight was recorded

No change in BMI units

GDM: ≥9.0 mmol/L blood glucose 2 h after OGTT.

No adjusted model available

Lynes et al. 2017 [22]

Yes

USA

NICHD Consecutive Pregnancy Study

2002–2010

46,521

First two consecutive singleton births

Unspecified how weight was recorded

± 1 BMI unit

GDM: not clarified

PIH: ≥140 mmHg systolic and ≥ 90 mmHg diastolic without proteinuria

PE: ≥140 mmHg systolic and ≥ 90 mmHg diastolic with proteinuria

Maternal race, interpregnancy interval, maternal age, marital status, smoking status, alcohol use during second pregnancy, prepregnancy BMI, complication in first pregnancy (GDM, PE, PIH)

McBain et al. 2016 [34]

No

Australia

Women’s and Childeren’s Health Network

2000–2012

5371

First and second consecutive deliveries.

BMI units recorded at first antenatal visit (before GA 15 weeks)

±2 BMI units

GDM: not clarified

PTB: not clarified

SGA: <10th centile

LGA: ≥90th centile

Maternal age, socioeconomic status, prepregnancy BMI in first pregnancy, smoking status, race, interpregnancy interval, first pregnancy outcome (GDM, PIH, birth method, LGA and SGA)

Pole et al. 1999 [37]

No

Canada

Nova Scotia Atlee Perinatal Database

1988–1996

19,932

Two or more singletons

Not stated

± 3% weight

GDM: two abnormal glucose values on a GTT according to Joslin Clinic or O’Sullivan criteria.

PIH: BP ≥90 mmHg diastolic, twice in 24 h

Prepregnancy weight (in lbs) of index pregnancy, gestational age, marital status, previous CS, maternal age, gestational weight gain, GDM in previous pregnancy

Simonsen et al. 2013 [38]

No

USA

Maternally linked Utah birth and fetal records

1989–2007

8468

First three singleton

live births.

Pre-pregnancy BMI from birth certificate (mean GA not reported)

BMI category unchanged

PTB: ≥20 and < 37 weeks

Maternal age, ethnicity, gestational weight gain, father on birth record, interpregnancy interval, subtype of previous PTB, gestational age at previous PTB, fetal death or anomaly in history

Sorbye et al. 2017 [23]

Yes

Norway

Medical Birth Registry of Norway

2006–2014

24,198

First and second delivery without GDM in index pregnancy

Unspecified how weight was recorded

± 1 BMI units

GDM: fasting glucose < 7.0 mmol/l and serum glucose after OGTT ≥7.8 mmol/l

Maternal age, country of birth, maternal education, smoking status, interpregnancy interval and year of delivery

Villamor et al. 2006 [20]

Yes

Sweden

Swedish Birth Register

1992–2001

151,025

First and second consecutive singleton births.

BMI units recorded at first antenatal visit (mean GA not reported)

± 1 BMI units

GDM: ICD-9648 W, ICD-10 O244.

PE: ICD-9642E-642H, ICD-10 O11 and O14.

PIH: ICD-9642D and 642X, ICD-10 O13

LGA: ≥2 SD above mean birthweight

Prepregnancy BMI in first pregnancy, height, interpregnancy interval, maternal age, country of birth, education, year of delivery, smoking status

Wallace et al. 2014 [21]

Yes

Scotland

Aberdeen Maternity and Neonatal Databank

1986–2007

12,740

First two consecutive births.

Weight and height recorded at first antenatal visit (mean GA not reported)

± 1 BMI units

PE: ISSHP definition

PIH: ISSHP definition

PTB: < 37 weeks

SGA: <10th percentile

LGA: ≥90th percentile

Prepregnancy BMI in first pregnancy, height inter-delivery interval, maternal age, year of delivery, smoking status, gestational age and fetal gender at second pregnancy.

Wallace et al. 216 [35]

No

Scotland

Aberdeen Maternity and Neonatal Databank

1986–2013

24,520

First two consecutive births and the same perinatal complication in both pregnancies

Weight and height recorded at first antenatal visit (mean GA not reported)

± 2 BMI units

PTB: < 37 weeks

PE: ISSHP definition

PIH: ISSHP definition

SGA: <10th percentile

LGA: ≥90th percentile

Prepregnancy BMI in first pregnancy, year of delivery, height, inter-delivery interval, maternal age, smoking status, gestational age and fetal sex at first and second pregnancy

Ziauddeen et al. 2019 [19]

Yes

England

Birth registry at Southampton Hospital

2003–2017

15,940

First two consecutive singleton live-birth pregnancies

Weight recorded at first antenatal visit; height self-reported

± 1 BMI unit

LGA: >90th percentile for GA

Baseline BMI, maternal age, education level, infertility treatment, smoking status, employment status, GDM in current pregnancy and interpregnancy interval

  1. aTo ensure a consistent reference group, only studies that employed a reference group of interpregnancy weight change between 1-unit weight loss and 1-unit weight gain were included. GDM gestational diabetes, PE pre-eclampsia, PIH pregnancy induced hypertension, PTB preterm birth, SGA small-for-gestational age, LGA large-for gestational age, BMI body mass index, GA gestational age, CS caesarean section, DM diabetes mellitus